Individual provider Active NPI

Rachel Conner, PA-C

  • Physician Assistant
  • Kingston, MA
National Provider Identifier
1407263304
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
214 Main St
Kingston, MA 02364-1928
Phone
(781) 585-2172
Fax
(781) 585-5148
NPI assigned
Jul 13, 2014
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

214 Main St
Kingston, MA 02364-1928

Mailing address

214 Main St
Kingston, MA 02364-1928
Phone (781) 585-2172

Other names 1

  • Rachel Benedetti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161028000689 MA Practitioner - Physician Assistant 0345460424 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

2 Technology Park Dr
Suite a
Bourne, MA 02532-8341
Phone (508) 743-9543

36 Shops at 5 Way
Plymouth, MA 02360-2677
Phone (774) 608-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Hospital, Inc. CurrentSince Oct 17, 2016 Accepting new patients
Brockton Hospital, Inc. CurrentSince Oct 17, 2016 Accepting new patients
Atrius Health, Inc. Physician Assistant CurrentSince Jun 15, 2023 Accepting new patients
Atrius Health, Inc. Physician Assistant CurrentSince Jun 15, 2023 Accepting new patients
South Shore Health Express, Inc CurrentSince Aug 15, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 2, 2020 Accepting new patients
South Shore Health Express, Inc CurrentSince Aug 15, 2020 Accepting new patients
Steward Medical Group, Inc Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

214 Main St
Kingston, MA 02364
Phone (781) 582-2172

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

117 Old Church St
Pembroke, MA 02359
Phone (781) 626-5170

59 Long Pond Rd
Plymouth, MA 02360
Phone (781) 626-5180

Interoperability endpoints

  • Direct secure messaging: rconnerpa371626@direct.atrius.masshiway.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1407263304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MAIN ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641928",
            "telephone_number": "781-585-2172",
            "fax_number": "781-585-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MAIN ST",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641928",
            "telephone_number": "781-585-2172",
            "fax_number": "781-585-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BENEDETTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingston, MA

Sources for this page

Verify at the official NPI Registry.